Nursing Homes · Medicare certified
Palisade Healthcare Center
920 4th St · Garretson, SD 57030 · 55 certified beds
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About Palisade Healthcare Center
Palisade Healthcare Center is a nursing home in Garretson, South Dakota. Its capacity is 55 beds, below the Minnehaha County median of 60 for nursing homes. It is run by a for-profit operator and is part of Evergreen Healthcare Group. It is Medicare certified. Its public inspection record shows 29 citations, the most recent on April 16, 2026. CMS also lists 5 fines or payment denials against it. Nurse staffing averages 3.50 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (29)
Records from March 2023 to April 2026.
March 18, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 11, 2024.
March 18, 2024
Tag F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 11, 2024.
March 18, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 11, 2024.
March 18, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 11, 2024.
March 18, 2024
Tag F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 11, 2024.
December 28, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 1, 2024.
March 8, 2023
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 14, 2023.
March 8, 2023
Tag F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 14, 2023.
March 8, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 14, 2023.
Penalties (5)
Total fines: $154,946
April 16, 2026 · Fine
CMS recorded a civil money penalty of $94,600 against this nursing home on April 16, 2026.
November 19, 2025 · Fine
CMS recorded a civil money penalty of $122,476 against this nursing home on November 19, 2025.
September 17, 2025 · Fine
CMS recorded a civil money penalty of $8,608 against this nursing home on September 17, 2025.
August 7, 2025 · Fine
CMS recorded a civil money penalty of $11,713 against this nursing home on August 7, 2025.
November 26, 2024 · Fine
CMS recorded a civil money penalty of $12,149 against this nursing home on November 26, 2024.
Staffing
3.50 nurse hours per resident per day in Q2 2026, up from 3.41 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Evergreen Healthcare Group, a chain of 43 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.2 for health inspections, 3.3 for staffing, 2.9 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in South Dakota.
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